Friday, November 18, 2011

Parsing Gabrielle

Notes made while watching interview with Diane Sawyer.
Her speech centers are still intact ..but some of the pathways that connect speech with concepts may have been severed. They show her a picture of a table and she comes up with words all right ..just not the right ones. She’s guessing and her therapy involves prompting her to narrow down the range of possibilities until she’s in the vicinity of ‘table-ness’. It is geared toward building alternate pathways to replace the one’s she lost. The connection between her lexicon (the place where words are stored) and semantic memory (memory for meaning) may be all that’s affected. Prognosis is good. She can read words from her lexicon OK. Her difficulty is connecting them with ideas in the mind. So it’s just a process of generating alternate pathways. I wonder if she can write or type in complete sentences. I wonder if there’s a way to prompt the language pathways of the brain to act with equipotentiality, same as they did during childhood, to help facilitate the regenerative process. Apparently music can help because it activates greater brain-area ..and she can sing the words she has difficulty coming up with on her own.  Spontaneously however, she doesn’t speak in full sentences yet. Her two word utterances show a ‘return to the kernal’ ..meaning she can express the main idea without the generating the phrase-structure necessary to produce a full sentence. Hopefully, she hasn’t lost the rules of grammar ..only the ability to pick-out the words to express them. 

Kernal: When asked if she wants to return to Congress, she relies: “No, better!”
Generative grammar: Two embedded verb phrases are required to turn the kernal “No, better!” into the sentence: “No, I want to get better first” 

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